Introduction. Fuchs Endothelial Corneal Dystrophy (FECD) represents a non-inflammatory dystrophy of the corneal endothelial layer which
|
|
- Sibyl Newman
- 6 years ago
- Views:
Transcription
1 Romanian Journal of Ophthalmology, Volume 59, Issue 3, July-September pp: GENERAL ARTICLE FUCHS ENDOTHELIAL CORNEAL DYSTROPHY: IS FEMTOSECOND LASER ASSISTED CATARACT SURGERY THE RIGHT APPROACH? Monica Gavriş* **, Ioan Horge**, Elena Avram*, Roxana Belicioiu*, Ioana Alexandra Olteanu*, Hanga Kedves* * Laser Optisan Clinic, Cluj-Napoca, Romania ** Cluj-Napoca Military Hospital, Cluj-Napoca, Romania Correspondence to: Monica Gavriş Traian Moşoiu Street, zip code , Cluj-Napoca, Romania Mobile phone: , E -mail: gavrismonica@yahoo.com Accepted: July 18, 2015 Abstract Introduction: Femtosecond Laser assisted cataract surgery represents a modern technology that hopes to lower the risk of complications for patients suffering from Fuchs endothelial dystrophy by using a reduced level of energy that causes less damage to the endothelium, the main concern for patients with Fuchs endothelial dystrophy. The femtosecond laser performs 3 important steps in cataract surgery: corneal incisions, capsulorhexis and nucleus fragmentation without intraocular instrument manipulation. Purpose: The purpose of this study is to determine the efficiency of Femtosecond Laser assisted cataract surgery in Fuchs endothelial dystrophy. Material and methods: 5 patients with 6 eyes underwent cataract surgery assisted by Femtosecond Laser LensX at Laser Optisan Clinic. Corneal changes before and after surgery and cumulative dissipated energy (CDE) were analyzed. Results: Before surgery, our patients presented BCVA between , Pachymetry between µm, endothelial cells between mm 2. The medium cumulative dissipated energy (CDE) used was 4.58 seconds. After surgery, BCVA improved in all patients and none of them developed corneal decompensation so far. Conclusions: Femtosecond Laser assisted cataract surgery represents a safe alternative in patients with Fuchs endothelial dystrophy and has a low risk of corneal decompensation. Key words: Femtosecond Laser assisted cataract surgery, Fuchs endothelial dystrophy, Endothelial cell Introduction Fuchs Endothelial Corneal Dystrophy (FECD) represents a non-inflammatory dystrophy of the corneal endothelial layer which involves the presence of guttata small excrescences on Descemet s membrane due to abnormal elaborations of basement membrane and fibrillar collagen by the damaged endothelial cells. 159
2 When a patient suffering from mild or moderate FECD undergoes cataract surgery, the main concern of the surgeon is to cause less damage to the already altered corneal endothelium because at densities less than 1,000 endothelial cells/mm 2, the risks of significant corneal decompensation with cataract surgery increases in patients with FECD hasting this way the need for DSEK surgery or corneal transplant. In patients with FECD that are scheduled for cataract surgery it is very important to complete a precise diagnostic workup analyzing existing corneal changes and these patients require additional consideration in choosing the best and safest surgical technique to obtain the best visual outcome. Anterior segment imaging, by means of specular microscopy, confocal microscopy or optical coherence tomography (OCT) offers the possibility to study corneal changes after cataract surgery by showing a magnified view of the corneal endothelium including measurements of cell density and morphology of the cells and pachymetry. While FECD is characterized by increased polymegethism, decreased hexagonality as well as thickening of the cornea which reveals cell loss and subsequent changings of surrounding cells to fill in the compromised endothelium and also coalescing guttatae, cataract surgery can cause true trauma to the already fragile cornea [1]. Also corneal tomography can show a pattern compatible with subclinical edema that implies a straightened or horizontal pachymetric progression profile [2]. Femtosecond Laser - Assisted Cataract Surgery represents a modern and safe approach that hopes to lower the risk of complications in patients suffering from FECD. The femtosecond laser performs corneal incisions, capsulorhexis and nucleus fragmentation without intraocular instrument manipulation this way reducing the amount of ultrasound energy causing less damage to the endothelium. Fragmentation of the leans with femtosecond laser has shown to reduce the average time and energy required by approximately 50% (Batlle J.F., unpublished data, [2011]), (Edwards K., unpublished data [2011]), [3]. In addition, usage of dispersive viscoelastic and performing cataract in the bag phacoemulsification is indicated. Objective The purpose of this study is to determine the efficiency of Femtosecond Laser Assisted Cataract Surgery in patients suffering from mild and moderate FECD with cataract by studying the corneal changes. Material and methods Within , 5 patients (6 eyes) with mild-moderate FECD underwent Femtosecond Laser - assisted cataract surgery at Laser Optisan Clinic (Cluj-Napoca). 3 patients (3 eyes) had clinically transparent cornea and 2 patients (3 eyes) had subclinical stromal edema. Surgery was performed by the same surgeon with LensX Femtosecond laser and Centurion phacoemulsification system (torsional mode). Cataract in the bag phacoemulsification was performed. Excessive dispersive viscoelastic devices were used. Parameters followed were: BCVA before and after surgery; Corneal changes before and after surgery were made 1 day before and 1 month after surgery: Measurements of the central corneal thickness and subclinical corneal edema (Allegro Oculyzer Wavelight); Endothelial cell density (Konan Noncon Robo Specular Microscope); Cumulative dissipated energy (CDE). After surgery intensive steroids and antibiotic eye drops (Tobramicinum + Dexametazonum) were applied to minimize the inflammatory damage to the corneal endothelium. All patients gave their consent for the use of their data in this study. Results The average age of the 5 patients enrolled in this study was 69.4 (54-77). 4 patients were female and 1 was male, which attest the higher frequency of women suffering from FECD. 160
3 The preoperative mean BCVA was 0.25 (range ) while 1 month after surgery mean BCVA increased to 0.73 (range 0.4-1) (Table 1). One of the patients was known to have glaucoma (P1) while another mild nonproliferative diabetic retinopathy (P2). Preoperative data collected revealed: average central corneal thickness was 533 µm (range µm), none of the patients having a pachymetry over 600 µm, average endothelial cell density was 1120 cells/mm 2 (range cells/mm 2 ) (Fig. 1). None of the patients presented clinical corneal edema, but 2 patients (P1, P3) had subclinical corneal edema (Table 2). Table 1: Patients BCVA evolution BCVA Gender Age Eye P1 F 77 Before OD OS P2 F 72 OD After 1 month P3 M 74 OD P4 F 54 OS P5 F 70 OS = 0.25 = 0.73 Postoperative, a month after surgery we noticed: decrease in endothelial cell density to an average of cells/mm 2 (range cells/mm 2 ) with an average rate of decrease of 0.73% and increse of central corneal thickness to µm (range µm) with an avarage rate of increase of 0.89% (Fig. 2) (Table 2). Regarding corneal edeman just 2 of the patients (P1, P3) had moderate edema and corneal folds which has been resolved in a few days, both patients having before surgery an endothelial cell density under 1,000 cells/mm 2 (Table 2). During cataract surgery, the average CDE used varied between 1,95 seconds to 6.98 seconds, with an average of 4.58 seconds (Table 2). Table 2: Corneal changes before/after surgery and CDE P1 P2 P3 P4 P5 OD OS OD OD OS OS Endothelial Cells Before with Density (cells/mm 2 ) After 1 month % Pachymetry Before with (µm) Corneal Edema CDE (seconds) S.E. = subclinical edema After 1 month Before S.E. S.E. - S.E. - - After 1 month S.E. S.E. - S.E % 161
4 from 779 cells/mm 2 before surgery to 766 cells/mm 2 endothelial cells after surgery [4] [5]. Seitzman (2005) noted an increase in central corneal thickness from 584 µm before surgery to 593 µm after surgery, while Hayashi (2011) noticed an increase of 3.3% µm after surgery [5] [6]. In our study, we obtained similar results in endothelial cell density and pachymetry before and after surgery, this differences being insignificant. Regarding the amount of CDE used in Phacoemulsification Cataract Surgery differences between longitudinal and torsional phacoemulsification mode were noted. If a CDE of ± seconds is used in longitudinal phacoemulsification mode, in torsional phacoemulsification mode the CDE decreases to ± 6.14 seconds (Doors M., unpublished data [2010]). Our mean CDE was 4.58 seconds, much lower compared with the ones obtained in Phacoemulsification Cataract Surgery studies. Conclusions Fig. 1 Patients with Fuchs Corneal Endothelial Distrophy after Femtosecond laser Assisted Cataract Surgery (Casuistry LaserOptisan Clinic) Discussions Few studies regarding Femtosecond Laser assisted cataract surgery in patients with FECD are mentioned in literature. Szaflik (Szaflik J.P., unpulished data [2015]), Brundrett (Brundrett A., unpublished data [2015]) and Shukhaev (Shukhaev S., unpublished data [2015]) also reported insignificant changes in corneal thickness and endothelial cell density loss after Femtosecond Laser - Assisted Cataract Surgery in patients with FECD. In studies regarding Phacoemulsification Cataract Surgery in patients with FECD, Yamazoe (2011) found a loss of 13.5% in Endothelial Cell density, while Hayashi (2011) noticed a loss Insignificant increase in central corneal thickness and decrease in endothelial cell density was noticed after Femtosecond Laser assisted cataract surgery in patients suffering from FECD enrolled in this study. None of the patients developed clinically significant corneal edema after the surgery, just 2 of the patients had minor or moderate edema or corneal folds which disappeared in a few days. Our data suggest that Femtosecond Laser - assisted cataract surgery can represent a safe alternative in patients with FECD and has a low risk of corneal decompensation, allowing excellent visual rehabilitation. Although Femtosecond Laser - assisted cataract surgery seems to be safe in patients with FECD, a prospective randomized controlled study on a larger number of patients and with periodical follow-ups is required for validation of the results obtained in this analysis. Discolsureses: none 162
5 References 1. Eghrari A.O., Gottsch J.D. Fuchs corneal dystrophy. Expert Rev Ophthalmol, 5(2): , Ambrósio R. Jr., Alonso R.S., Luz A., Coca Velarde L.G. Corneal-thickness spatial profile and corneal-volume distribution: tomographic indices to detect keratoconus. J Cataract Refract Surg. 32(11):1851-9, Nagy Z., Takacs A., Filkorn T., Sarayba M. Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery. J Refract Surg, 25: , Yamazoe K., Yamaguchi T., Hotta K., Satake Y., Konomi K., Den S., Shimazaki J. - Outcomes of cataract surgery in eyes with a low corneal endothelial cell density. Journal of Cataract and Refractive Surgery 37(12): , Hayashi K., Yoshida M., Manabe S., Hirata A. Cataract surgery in eyes with low corneal endothelial cell density. J Cataract Refract Surg; 37(8): , Seitzman G.D., Gottsch J.D., Stark W.J. Cataract surgery in patients with Fuchs corneal dystrophy: expanding recommendations for cataract surgery without simultaneous keratoplasty. Ophthalmology, 112(3): ,
Long-term Evaluation of Endothelial Cell Changes in Fuchs Corneal Dystrophy: The Influence of Phacoemulsification and Penetrating Keratoplasty
pissn: 111-8942 eissn: 292-9382 Korean J Ophthalmol 213;27(6):49-415 http://dx.doi.org/1.3341/kjo.213.27.6.49 Original Article Long-term Evaluation of Endothelial Cell Changes in Corneal Dystrophy: The
More informationSpecular Microscopy Clinical Cases. CEM-530 Specular Microscope
Specular Microscopy Clinical Cases CEM-530 Specular Microscope Contents Contributing Professionals 1 Introduction 2 Prof. Ekkehard Fabian Case Examples 4 Dr. Alaa M. ElDanasoury Case Examples 6 Dr. Richard
More informationCataract and cornea. Miltos O. Balidis PhD, FEBOphth,ICOphth ATHENS
Cataract and cornea Miltos O. Balidis PhD, FEBOphth,ICOphth CATARACT and Stromal opacities Keratoplasty Keratoconus Endothelial pathology Scars PTK Trypan blue 0.01%. Work at the transparent side of cornea
More informationRuba Alobaidy Jia Y Ng Sathish Srinivasan
Ruba Alobaidy Jia Y Ng Sathish Srinivasan Department of Ophthalmology, University Hospital Ayr, Ayr, Scotland The authors have no financial interests to declare. Continuous curvilinear capsulorhexis (CCC)
More informationPhacopower Modulation and the Risk for Postoperative Corneal Decompensation A Randomized Clinical Trial
Research Original Investigation CLINICAL TRIAL Phacopower Modulation and the Risk for Postoperative Corneal Decompensation A Randomized Clinical Trial Muriël Doors, MD; Tos T. J. M. Berendschot, PhD; Wouter
More informationMEDICAL POLICY SUBJECT: CORNEAL ULTRASOUND PACHYMETRY. POLICY NUMBER: CATEGORY: Technology Assessment
MEDICAL POLICY SUBJECT: CORNEAL ULTRASOUND,, PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including
More informationResearch Article Corneal Endothelial Changes in Patients of Type 2 Diabetes Mellitus Using Specular Microscopy
Cronicon OPEN ACCESS EC OPHTHALMOLOGY Research Article Corneal Endothelial Changes in Patients of Type 2 Diabetes Mellitus Using Specular Microscopy Sumit 1, Shashi Ahuja 2 *, Chanaveerappa Bammigatti
More informationFUCH S DYSTROPHY & CATARACT SURGERY TREATMENT ALGORITHM
FUCH S DYSTROPHY & CATARACT SURGERY TREATMENT ALGORITHM ΙΟΑΝΝΙS Α. MALLIAS, MD, PHD Director of the Dept. of Ophthalmology, Mediterraneo Hospital, Glyfada, Athens, Greece Clinical Fellow in Cornea and
More informationÁgnes I. Takács, MD; Illés Kovács, MD, PhD; Kata Miháltz, MD; Tamás Filkorn, MD; Michael C. Knorz, MD; Zoltán Z. Nagy, MD, DSC
Central Corneal Volume and Endothelial Cell Count Following Femtosecond Laser assisted Refractive Cataract Surgery Compared to Conventional Phacoemulsification Ágnes I. Takács, MD; Illés Kovács, MD, PhD;
More informationLearn Connect Succeed. JCAHPO Regional Meetings 2017
Learn Connect Succeed JCAHPO Regional Meetings 2017 Cataract Surgery in 2017 DARBY D. MILLER, MD MPH CORNEA, CATARACT AND REFRACTIVE SURGERY ASSISTANT PROFESSOR OF OPHTHALMOLOGY MAYO CLINIC FLORIDA Natural
More informationSurgical induced astigmatism in femtosecond laser assisted cataract surgery
ARTICLE Surgical induced astigmatism in femtosecond laser assisted cataract surgery Laureano Álvarez-Rementería, MD 1, Vanessa Blázquez, OD 1, Inés Contreras, MD, PhD 1,2 PURPOSE: To report the surgical
More informationIRIDEX MicroPulse P3: innovative cyclophotocoagulation
Romanian Journal of Ophthalmology, Volume 61, Issue 2, April-June 2017. pp:107-111 GENERAL ARTICLE IRIDEX MicroPulse P3: innovative cyclophotocoagulation Gavris M. Monica*, Olteanu Ioana*, Kantor Erzsebet*,
More informationIntroduction. Donor tissue preparation for Descemet Membrane Endothelial ASCRS Aim of dissection. DMEK graft preparation
Introduction Donor tissue preparation for Descemet Membrane Endothelial keratoplasty (DMEK) ASCRS - 2015 Endothelial Keratoplasty DSAEK / DSEK DMEK Donor lamellae stroma + DM + endothelium DM + endothelium
More informationInclusion Criteria Ages eligible for study: 40 Years to 70 Years Genders eligible for study: Both
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 5 Ver. II (May. 2017), PP 49-53 www.iosrjournals.org A Prospective Comparative Study of Central
More informationAnterior segment imaging
CET CONTINUING Sponsored by 1 CET POINT Anterior segment imaging Sundeep Vaswani, BSc (Hons), MCOptom 39 The anterior segment of the eye encompasses all structures from the front surface of the cornea
More informationQUALIT ATIVE CHARACTERIZATION OF SOME PA THOLOGIC CORNEAL DISEASES USING CONTACT SPECULAR MICROSCOPY
QUALIT ATIVE CHARACTERIZATION OF SOME PA THOLOGIC CORNEAL DISEASES USING CONTACT SPECULAR MICROSCOPY JOSE DAVID F. MARIN, JR. EVANGELINE MARION A. ABENDANIO ROSSINA LYDIA ALEJO-RAMIREZ SAL V AOOR R. SALCEDA
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: endothelial_keratoplasty 9/2009 6/2018 6/2019 6/2018 Description of Procedure or Service Endothelial keratoplasty
More informationComplex cataract cases Managing catarocks : Better surgery on dense lenses, intumescent cataracts
Complex cataract cases Managing catarocks : Better surgery on dense lenses, intumescent cataracts by Vanessa Caceres EyeWorld Contributing Writer Hypermature white cataract. According to Dr. Donaldson,
More informationIntroduction. We are finally using a laser!!! The Use of a Femtosecond Laser for Complex Cataract Procedures. Financial Disclosure
ASCRS 2014 The use of the femtosecond laser for complex cataract surgery Cases I could not have performed without the femtosecond laser Course Director: Richard S. Davidson, M.D. Associate Professor and
More informationProtocol. Endothelial Keratoplasty
Protocol Endothelial Keratoplasty (90322) Medical Benefit Effective Date: 04/01/14 Next Review Date: 11/18 Preauthorization No Review Dates: 01/14, 11/14, 11/15, 11/16, 11/17 Preauthorization is not required.
More informationMorphological Study of Corneal Endothelium and Corneal Thickness in Pseudoexfoliation Syndrome
LABORATORY INVESTIGATIONS Morphological Study of Corneal Endothelium and Corneal Thickness in Pseudoexfoliation Syndrome Kenji Inoue*,, Kazuko Okugawa*,, Tetsuro Oshika and Shiro Amano *Department of Ophthalmology,
More informationCorneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant
2014 2015 Corneal transplants The cornea is the clear, front window of the eye. It helps focus light into the eye so that you can see. The cornea is made of layers of cells. These layers work together
More informationCorneal Transplants. Corneal transplants. What causes cornea problems? Full thickness corneal transplant
Corneal transplants The cornea is the clear, front window of the eye. It helps focus light into the eye so that you can see. The cornea is made of layers of cells. These layers work together to protect
More informationIntraindividual comparison of surgical trauma after bimanual microincision and conventional small-incision coaxial phacoemulsification
ARTICLE Intraindividual comparison of surgical trauma after bimanual microincision and conventional small-incision coaxial phacoemulsification Günal Kahraman, MD, Michael Amon, MD, Carmen Franz, MD, Anna
More informationCorneal Endothelial Change after Phacoemulsification
Original Article Abstract Background: Phacoemulsification is the modern method of sight restoring surgery for cataract and it is becoming popular day by day. We planned this study to find out any significant
More informationFinancial Disclosures. Corneal Problems for the Cataract Surgeon. Four Common Problems. Dry Eye syndrome. Rose-Bengal 3/27/16
Corneal Problems for the Cataract Surgeon Financial Disclosures Consultant: AMO/VISX Consultant: Angiotech/Sharppoint Michael J Taravella, MD Director: Cornea and Refractive Surgery University of Colorado
More informationASCRS 2016 Instructional Course Mastering Femtosecond Laser Assisted Phacoemulsification. An Evidence-Based Review
ASCRS 2016 Instructional Course 07-410 Mastering Femtosecond Laser Assisted Phacoemulsification An Evidence-Based Review TIMOTHY V ROBERTS MBBS (NSW), MMed (Syd), FRANZCO, FRACS, GAICD Vision Eye Institute,
More informationOptometric Postoperative Cataract Surgery Management
Financial Disclosures Optometric Postoperative Cataract Surgery Management David Dinh, OD Oak Cliff Eye Clinic Dallas Eye Consultants March 10, 2015 Comanagement Joint cooperation between two or more specialists
More informationLaser Refractive Cataract Surgery with the LenSx Laser
Laser Refractive Cataract Surgery with the LenSx Laser a Novartis company 1 LenSx Laser Important Safety Information Caution: United States Federal Law restricts this device to sale and use by or on the
More informationCOMBINED CATARACT EXTRACTION & CORNEAL TRANSPLANTATION. Nikolaos G. Ziakas 1 st Eye Clinic Aristotle University of Thessaloniki
COMBINED CATARACT EXTRACTION & CORNEAL TRANSPLANTATION Nikolaos G. Ziakas 1 st Eye Clinic Aristotle University of Thessaloniki DECISION MAKING Simultaneous presence of optically significant corneal disorder
More informationRevitalization of the Anterior Segment: Corneal Transplantation and Secondary Lens Repair
Revitalization of the Anterior Segment: Corneal Transplantation and Secondary Lens Repair CATHERINE REPPA, MD CORNEA SPECIALIST, ASSISTANT PROFESSOR TTUHSC DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES
More informationCataract Surgery and the LenSx Femtosecond Laser System
Anterior Section Segment Heading Section Cataract sub Cataract Surgery and the LenSx Femtosecond Laser System Richard Potvin, MASc, OD 1 and Sarah Makari, OD 2 1. President; 2. Research Associate, Science
More informationCase Report Outcome of Two Corneal Collagen Crosslinking Methods in Bullous Keratopathy due to Fuchs Endothelial Dystrophy
Case Reports in Medicine, Article ID 463905, 5 pages http://dx.doi.org/10.1155/2014/463905 Case Report Outcome of Two Corneal Collagen Crosslinking Methods in Bullous Keratopathy due to Fuchs Endothelial
More informationCorneal Hydrops Secondary to Intrastromal Corneal Ring Intrusion into the Anterior Chamber 7 Years after Implantation: A Case Report
Ophthalmol Ther (2017) 6:373 379 DOI 10.1007/s40123-017-0105-7 CASE REPORT Corneal Hydrops Secondary to Intrastromal Corneal Ring Intrusion into the Anterior Chamber 7 Years after Implantation: A Case
More informationSubject Index. Atopic keratoconjunctivitis (AKC) management 16 overview 15
Subject Index Acanthamoeba keratitis, see Infective keratitis Acute allergic conjunctivitis AKC, see Atopic keratoconjunctivitis Allergy acute allergic conjunctivitis 15 atopic keratoconjunctivitis 15
More informationState of the art: femtosecond laser cataract surgery
State of the art: femtosecond laser cataract surgery Moschou Konstantinos M.D. Diathlasis Day Care Unit 13th Ophthalmology Congress of ΟΕΤΗΑΜΒΑ July 9-10, 2016 Samothraki Village Hotel Samothraki, Greece
More informationASCRS 2016 Instructional Course Mastering Femtosecond Laser Assisted Phacoemulsification
ASCRS 2016 Instructional Course 07-410 Mastering Femtosecond Laser Assisted Phacoemulsification LASER CAPSULOTOMY TIMOTHY V ROBERTS MBBS (NSW), MMed (Syd), FRANZCO, FRACS, GAICD Vision Eye Institute, Sydney
More informationStructural Analysis of Different Incision Sizes and Stromal Hydration in Cataract Surgery Using Anterior Segment Optical Coherence Tomography
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2015;29(1):23-30 http://dx.doi.org/10.3341/kjo.2015.29.1.23 Original Article Structural Analysis of Different Incision Sizes and Stromal Hydration
More informationCase Report: Femtosecond Laser-Assisted Small Incision Deep Lamellar Endothelial Keratoplasty
Korean Journal of Ophthalmology 22(1):43-48, 2008 DOI : 10.3341/kjo.2008.22.1.43 Case Report: Femtosecond Laser-Assisted Small Incision Deep Lamellar Endothelial Keratoplasty Dong-Hoon Lee, MD 1, Tae-Young
More informationSECONDARY CAPSULOTOMY USING THE FEMTOSECOND LASER. Surendra Basti, MD Northwestern University Feinberg School of Medicine, Chicago, IL
SECONDARY CAPSULOTOMY USING THE FEMTOSECOND LASER Surendra Basti, MD Northwestern University Feinberg School of Medicine, Chicago, IL SMALL PUPIL MANAGEMENT DURING FEMTO CATARACT SURGERY Surendra Basti,
More informationCataract Surgery in the Patient with a History of LASIK or PRK
Cataract Surgery in the Patient with a History of LASIK or PRK #56996-RS April 2018 Sebastian Lesniak, MD Matossian Eye Associates None Disclosures Bio Matossian Eye Associates, Hopewell NJ, 7/2015 Present
More informationIn Practice. Surgical Procedures Diagnosis New Drugs
In Practice Surgical Procedures Diagnosis New Drugs 32 35 Bowman + Bulk = Better Results Mid-stromal lamellar keratoplasty (MSLK) offers a new approach to the management of advanced keratoconus that can
More informationUPDATE ON CORNEAL TRANSPLANTATION. Frank S. Hwang M.D. Assistant Professor Cornea, External Disease and Refractive Surgery
UPDATE ON CORNEAL TRANSPLANTATION Frank S. Hwang M.D. Assistant Professor Cornea, External Disease and Refractive Surgery OBJECTIVES Types of corneal transplantation Donor Selection of corneal tissue Penetrating
More informationPreliminary Programme
In conjunction with the Serbian Society of Cataract and Refractive Surgeons 9 11 February 2018 Preliminary Programme General Information Venue Sava Centar, Milentija Popovića 9, Beograd 11070, Serbia Local
More informationIntroduction. We are finally using a laser!!! The Use of a Femtosecond Laser for Complex Cataract Procedures. Financial Disclosure
ASCRS 2014 The use of the femtosecond laser for complex cataract surgery Cases I could not have performed without the femtosecond laser Course Director: Richard S. Davidson, M.D. Associate Professor and
More informationCorneal Endothelial Cell Loss after Phacoemulsification with and without Trypan Blue Assisted Staining of Anterior Lens Capsule
Original Article Corneal Endothelial Cell Loss after Phacoemulsification with and without Trypan Blue Assisted Staining of Anterior Lens Capsule Arooj Amjad, Muhammad Shaheer, Ummarah Rasheed Pak J Ophthalmol
More informationEvripidis Sykakis, Fook Chang Lam, Panagiotis Georgoudis, Samer Hamada, and Damian Lake
Ophthalmology Volume 2015, Article ID 172075, 4 pages http://dx.doi.org/10.1155/2015/172075 Research Article Patients with Fuchs Endothelial Dystrophy and Cataract Undergoing Descemet Stripping Automated
More informationOcular Studies of EMF Exposure at the MMW M. Kojima 1,2,3), Y. Suzuki 4)
Ocular Studies of EMF Exposure at the MMW M. Kojima 1,2,3), Y. Suzuki 4) 1. Division of Vision Research for Environmental Health, Medical Research Institute, Kanazawa Medical University 2. Department of
More informationPreliminary ASCRS CyPass Withdrawal Consensus Statement 1
Preliminary ASCRS CyPass Withdrawal Consensus Statement 1 ASCRS CyPass Withdrawal Task Force Leads: Douglas Rhee, MD; Nathan Radcliffe, MD; and Francis Mah, MD Glaucoma: Leon Herndon, MD; Marlene Moster,
More informationClinical and Experimental Ophthalmology 2017; 2018; : 46: doi: doi: /ceo.12998
Clinical and Experimental Ophthalmology 2017; 2018; : 46: 35 45 doi: doi: 10.1111/ceo.12998 Original Article Can we improve the efficacy of modern cataract surgery by using different tip designs? A comparison
More informationEndothelial Keratoplasty
Endothelial Keratoplasty Policy Number: 9.03.22 Last Review: 11/2017 Origination: 11/2015 Next Review: 11/2018 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for Endothelial
More informationCataract Surgery Co-Management
Cataract Surgery Co-Management Phacoemulsification, Clear-Lens Extraction, and LensX INCLUSION CRITERIA: Significant visual complaints (decreased VA, increased glare, decreased Activities of Daily Living
More information2 years experience with LenSx,what we learned?
2 years experience with LenSx,what we learned? Saleh Saif AL Messabi FRCS( CANADA) Medical Director,Samaya Eye Hospital and Centers,UAE President,Emirates Ophthalmic Society Financial Interest Speaker
More informationFleck. Pre-Descemet Dystrophies (generally good vision and comfort) Primary Pre-Descemet Dystrophy
Fleck Etiology: bilateral, sometimes asymmetric, autosomal dominant opacities located in all levels of stroma as early as 1 st decade Slit lamp: well demarcated, small round gray-white doughnut-like, wreath-like
More informationGENERAL INFORMATION CORNEAL TRANSPLANTATION
GENERAL INFORMATION CORNEAL TRANSPLANTATION WHAT IS CORNEAL TRANSPLANTATION? A corneal transplant is an operation where a damaged or diseased cornea is replaced with donated, healthy tissue. Also called
More informationPATIENT INFORMATION ON CORNEAL GRAFT
PATIENT INFORMATION ON CORNEAL GRAFT (TRANSPLANT) SURGERY M ANANDAN What is the cornea? The clear window of the eye approximately 0.5mm thick and 12mm across. It lies in front of the fluid filled anterior
More informationEffect of Incision Site on Corneal Endothelial Cell Count Changes in Cataract Surgery by Phacoemulsification
ORIGINAL ARTICLE Effect of Incision Site on Corneal Endothelial Cell Count Changes in Cataract Surgery by Phacoemulsification KHALID MAHMOOD*, AHMAD ZEESHAN JAMIL, TALAT MAHMOOD GONDAL, ZAHEER-UD-DIN AQIL
More informationPreliminary Programme
In conjunction with the 33 rd HSIOIRS International Congress 15 17 February 2019 Preliminary Programme General Information Venue Megaron Congress Centre, Vas. Sofias Avenue and Kokkali Str., 11521 Athens,
More informationA clinical study of corneal complications of manual small incision cataract surgery
Original Research Article Anitha S. Maiya 1,*, Akshatha M. Dharmesh 2, R. Jayaram 3 1 Associate Professor, 2 Senior Resident, 3 Professor, Dept. of Ophthalmology, Adichunchanagiri Institute of Medical
More informationDeep Anterior Lamellar Keratoplasty
Deep Anterior Lamellar Keratoplasty Miltos O. Balidis PhD, FEBOphth, ICOphth ATHENS 2017 DALK indications Visual Keratoconus Corneal stromal dystrophies and degenerations Deep corneal scarring (post traumatic,
More informationDNB Question Paper. December 1
DNB Question Paper December 1 December,2013 DNB Examination 2013 (December) IMPORTANT INSTRUCTIONS: This question paper consists of 10 questions divided into Part A and Part B, each part containing 5 questions.
More informationFemtosecond laser assisted cataract surgery for cataract and rle. Prof.Dr.Mahmut Kaşkaloğlu Kaşkaloğlu Eye Hospital Izmir, Turkey
Femtosecond laser assisted cataract surgery for cataract and rle Prof.Dr.Mahmut Kaşkaloğlu Kaşkaloğlu Eye Hospital Izmir, Turkey june 2016 No financial disclosure Cataract surgery decreases mortality rate..united
More informationEndothelial cell loss and refractive predictability in femtosecond laser-assisted cataract surgery compared with conventional cataract surgery
Endothelial cell loss and refractive predictability in femtosecond laser-assisted cataract surgery compared with conventional cataract surgery Therese Krarup, Lars Morten Holm, Morten la Cour and Hadi
More informationDonor Risk Factors for Graft Failure in the Cornea Donor Study
CLINICAL SCIENCE Donor Risk Factors for Graft Failure in the Cornea Donor Study Joel Sugar, MD,* Monty Montoya, MBA, Mariya Dontchev, MPH, Jean Paul Tanner, MPH, Roy Beck, MD, PhD, Robin Gal, MSPH, Shawn
More informationIntrastromal corneal ring
Intrastromal corneal ring Kyriakidou Nantia M.D. Diathlasis Day Care Unit Scienti1ic Workshop of Diathlasis Day Care Unit 18-19 November, 2016 The Met Hotel Thessaloniki, Greece DAY CARE UNIT DIATHLASIS,
More informationAging & Ophthalmology
Aging & Ophthalmology Pr Jean-Marie Rakic Dr Denis Malaise January 2018 Major ocular diseases 1. Cataract 2. Age-related macular degeneration 3. Ischemic optic neuropathy 4. Horton arteritis 5. Glaucoma
More informationCATARACT & LENS SURGERY CATARACT SURGERY
GENERAL INFORMATION CATARACT & LENS SURGERY CATARACT SURGERY WHAT IS A CATARACT? A cataract is not a growth, but rather a clouding of the normally transparent and flexible lens of the eye. This condition
More informationDr. Harvey Richman, OD, FAAO, FCOVD Diplomate American Board of Optometry Executive Committee AOA Third Party Center Founder Ask the AOA Coding
Dr. Harvey Richman, OD, FAAO, FCOVD Diplomate American Board of Optometry Executive Committee AOA Third Party Center Founder Ask the AOA Coding Experts 92000 Codes Special Ophthalmological Services Describe
More informationInternational Multispecialty Journal of Health (IMJH) ISSN: [ ] [Vol-2, Issue-6, June- 2016]
Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Diabetes Mellitus (Type 2) and Non Diabetics after Phacoemulsification and Intraocular Lens Implantation Dr. Akram Khan 1, Dr.
More informationTHE CORNEAL endothelium is
CLINICAL SCIENCES Corneal Endothelial Cell Changes in Pseudoexfoliation Syndrome After Cataract Surgery Christopher Wirbelauer, MD; Norbert Anders, MD; Duy T. Pham, MD; Josef Wollensak, MD Objective: To
More informationPros & Cons of Introducing Femtosecond. Training Programs. James P. McCulley M.D., FACS,FRCOph (UK) University of Texas Southwestern Medical School
Pros & Cons of Introducing Femtosecond Laser AssistedCataract Surgery in Residency Training Programs James P. McCulley M.D., FACS,FRCOph (UK) Department of Ophthalmology University of Texas Southwestern
More informationPremium Implant Options for the Cataract Patient. Justin Schweitzer, OD, FAAO Vance Thompson Vision Sioux Falls, South Dakota
Premium Implant Options for the Cataract Patient Justin Schweitzer, OD, FAAO Vance Thompson Vision Sioux Falls, South Dakota Glaukos Bausch and Lomb Alcon Allergan Bio- Tissue TearScience Reichert Trends
More informationCorneal thickness changes following cataract surgery:
British Journal of Ophthalmology, 69, 567-571 Corneal thickness changes following cataract surgery: effect of lens ation and sodium hyaluronate J S H JACOB From the West of England Eye Infirmary, Exeter
More informationDistinction layer by layer. HRT II Rostock Cornea Module
Distinction layer by layer HRT II Rostock Cornea Module Homogenously illuminated, undistorted images Movie capture Manual Pachymetry Epithelial and intra-corneal pachymetry Full corneal thickness Post-LASIK
More informationUpdate on Femtosecond Laser Cataract Surgery
Update on Femtosecond Laser Cataract Surgery Eric Donnenfeld, M.D. Ophthalmic Consultants of Long Island and Connecticut Clinical Professor of Ophthalmology NYU Trustee Dartmouth Medical School ASCRS President
More informationINTRODUCTION J. DAWCZYNSKI, E. KOENIGSDOERFFER, R. AUGSTEN, J. STROBEL. Department of Ophthalmology, University Hospital Jena, Jena - Germany
European Journal of Ophthalmology / Vol. 17 no. 3, 2007 / pp. 363-367 Anterior segment optical coherence tomography for evaluation of changes in anterior chamber angle and depth after intraocular lens
More informationGives you the chamber stability you demand
Gives you the chamber stability you demand See better. Live better. 02 / Fluidics Fluidics / 03 Stellaris Activate gives you the chamber stability you demand Only Stellaris Activate gives you vacuum based
More informationOutcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery
Original Article Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery Jyoti Garg, MS; Umang Mathur, MS; Manisha Chabhra Acharya, MS; Lokesh Chauhan, MSC Department of Ophthalmology,
More informationJournal of Ophthalmic Medical Technology. Fuchs Dystrophy Amy Hischier
Journal of Ophthalmic Medical Technology Volume 8, Number 1 October 2013 www.jomtonline.com Fuchs Dystrophy Amy Hischier Patient History: A 55 year old female complained that both of her eyes were red,
More informationEvaluation of early corneal endothelial cell loss in bimanual microincision cataract surgery (MICS) in comparison with standard phacoemulsification
European Journal of Ophthalmology / Vol. 16 no. 6, 2006 / pp. 798-803 Evaluation of early corneal endothelial cell loss in bimanual microincision cataract surgery (MICS) in comparison with standard phacoemulsification
More informationCorneal densitometry using Pentacam based scheimpflug imaging system: Indian rural population
Original article: Corneal densitometry using Pentacam based scheimpflug imaging system: Indian rural population Dr Nikhil Mahajan*, Prof. Swati Tomar** **Professor,*Resident Department of Ophthalmology,
More informationFuchs Dystrophy: A New Paradigm in Diagnosis and Treatment. Disclosure. Fuchs Dystrophy. David G. Hwang, MD, FACS. Genetics and Pathogenesis
Fuchs Dystrophy: A New Paradigm in Diagnosis and Treatment David G. Hwang, MD, FACS Professor and Vice Chair Kimura Endowed Chair in Ophthalmology Director, Cornea Service and Refractive Surgery Services
More informationLaser Assisted Keratoplasty
Laser Assisted Keratoplasty Elizabeth H. Gauger and Kenneth M. Goins, M.D. October 15, 2009 Chief Complaint: Worsening vision in right eye History of Present Illness: 63 yo female with known history of
More informationWindows2016 Update What s New in My Specialty? cornea. May 20, 2016 OGDEN SURGICAL-MEDICAL SOCIETY CONFERENCE
Windows2016 Update What s New in My Specialty? cornea May 20, 2016 OGDEN SURGICAL-MEDICAL SOCIETY CONFERENCE This presentation has no commercial content, promotes no commercial vendor and is not supported
More informationDescemet s membrane endothelial keratoplasty (DMEK) surgery
Patient information Descemet s membrane endothelial keratoplasty (DMEK) surgery This information leaflet tells you what to expect if you have DMEK surgery an operation on the cornea of the eye along with
More informationULTRATHIN DSAEK: THE PRESENT STATUS. Massimo Busin, MD FORLI - ITALY
ULTRATHIN DSAEK: THE PRESENT STATUS Massimo Busin, MD FORLI - ITALY DSAEK TODAY GOLD STANDARD FOR THE SURGICAL TREATMENT OF ENDOTHELIAL DECOMPENSATION DSAEK VISUAL OUTCOME 20/40 BSCVA 38% to 100% at 3-6
More informationIssue 15 The following key clinical peer reviewed journals will be reviewed: MONTHLY RESEARCH UPDATE 151(3) American Journal of Ophthalmology 129(5)
Welcome to Bausch and Lomb s monthly research update. With our background in clinical ophthalmic research, mainly of the anterior eye, Bausch and Lomb have asked us to produce an independent report of
More information750,00 HRK 500,00 HRK 4, HRK 3.000,00 HRK 5, HRK 3.500,00 HRK 6, HRK 4.000,00 HRK 6, HRK 5.000,00 HRK
Examination for laser vision correction Laser vision correction - PRK 4,500.00 3.000,00 Laser vision correction - T-PRK 5,000.00 3. Laser vision correction - T-PRK Custom 6,000.00 4.000,00 Laser vision
More informationII Ophthalmic Spring Academy. May 20 th -24 th 2014 Cracow, Hotel Galaxy
II Ophthalmic Spring Academy May 20 th -24 th 2014 Cracow, Hotel Galaxy Faculty: Lecturers of the phaco part: prof. Igor Loskutov prof. Marek Rękas prof. Frank Wilhelm prof. Tomasz Żarnowski II Ophthalmic
More informationLamellar keratoplasty is a concept that has long been
CASE REPORT Histologic and Ultrastructural Findings in a Case of Traumatic Graft Failure in Deep Lamellar Endothelial Keratoplasty A Clinicopathologic Case Report Patrick Gooi, MD,* Jennifer W. Robinson,
More informationCOURSE DESCRIPTION BASIC FUNDAMENTALS
TACKLING POSTERIOR CAPSULE RUPTURE AND IOL IMPLANTATION: A VIDEO BASED COURSE TUESDAY - 29 th APRIL, 2014: 1.00 PM-2.30 PM, BCEC, ROOM 258 A ; SESSION 29-308 COURSE DESCRIPTION BASIC FUNDAMENTALS Early
More informationMicroincisional cataract surgery (MICS) with pulse and burst modes
European Journal of Ophthalmology / Vol. 16 no. 6, 2006 / pp. 804-808 Microincisional cataract surgery (MICS) with pulse and burst modes M. BAYKARA 1, I.. ERCAN 2, H. OZCETIN 1 1 Department of Ophthalmology
More informationNIH Public Access Author Manuscript Cornea. Author manuscript; available in PMC 2014 May 29.
NIH Public Access Author Manuscript Published in final edited form as: Cornea. 2013 December ; 32(12): 1544 1548. doi:10.1097/ico.0b013e3182a7f39d. Repeatability of corneal epithelial thickness measurements
More informationOCT Angiography: The Next Step in Retinal Imaging Jonathan Zelenak D.O.
OCT Angiography: The Next Step in Retinal Imaging Jonathan Zelenak D.O. Hillsdale Hospital Michigan State University Overview Evolution of OCT How does OCT angiography work? Clinical examples Potential
More informationComparison of Corneal Endothelial Cell Loss between Torsional and Linear Phacoemulsification
Comparison of Corneal Endothelial Cell Loss between Torsional and Linear Phacoemulsification Delhi J Ophthalmol 2014; 25 (1): 23-27 DOI: http://dx.doi.org/10.7869/djo.68 Amrita Sawhney, Uma Sridhar, Charu
More informationCase series and techniques of Descemet s Stripping Automated Endothelial Keratoplasty for severe bullous keratopathy after birth injury
Kobayashi et al. BMC Ophthalmology (2015) 15:92 DOI 10.1186/s12886-015-0094-z CASE REPORT Open Access Case series and techniques of Descemet s Stripping Automated Endothelial Keratoplasty for severe bullous
More informationDeep Anterior Lamellar Keratoplasty - Techniques
Deep Anterior Lamellar Keratoplasty - Techniques SHERAZ DAYA MD FACP FACS FRCS(Ed) FRCOphth Financial Disclosure Company Code 1. Abbott Medical Optics Inc. S 2. Bausch + Lomb C,L 3. Carl Zeiss Meditec
More informationEffects of Phocoemulsificotion and Extracapsular Lens Removal on Corneal Thickness and Endothelial Cell Density in the Dog
Effects of Phocoemulsificotion and Extracapsular Lens Removal on Corneal Thickness and Endothelial Cell Density in the Dog Robert M. Gwin, J. Kay Warren, Donald A. Samuelson, and Glenwood G. Gum Twenty-one
More information2009 Eye Banking Statistical Report Eye Bank Association of America th Street, N.W. Suite 1010 Washington, DC Phone (202) Fax
2009 Eye Banking Statistical Report Eye Bank Association of America 1015 18th Street, N.W. Suite 1010 Washington, DC 20036 Phone (202) 775-4999 Fax (202) 429-6036 www.restoresight.org Introduction 2009
More informationDo you need to perform hydrodissection?
Hydrodissection in Femtoassisted cataract surgery The Why and the How no financial interest DrIan YEO Singapore National Eye Centre Do you need to perform hydrodissection? 1 Hydrodissectionin traditional
More information